for Strengthening STI / RTI Services
National AIDS Control Organization
Ministry of Health and Family Welfare Government of India October 2007
NACO Operational Guidelines for Strengthening STI/RTI Services
blank blank
2
NACO Operational Guidelines for Strengthening STI/RTI Services
Contents
1. BACKGROUND 1.1. 1.2. 1.3. 1.4. Convergence of NACP III with RCH II of NRHM Introduction to operational guidelines Target audience Service delivery framework 1.4.1. Components of Quality STI/RTI Service Delivery 2. MINIMUM STANDARDS FOR STI/RTI SERVICES 2.1. 2.2. 2.3. Locations for STI/RTI Service Provision STI/RTI Service Package Minimum Infrastructure 2.3.1. Equipment and Supplies for STI/RTI Service Provision 2.3.2. General Items for STI/RTI Service Provision 2.3.3. Human Resources for STI/RTI Service Provision 2.3.4. Ethical Standards and Maintaining Confidentiality 3. DRUGS AND CONSUMABLES 3.1. 3.2. 3.3. Essential STI/RTI KITS/Drugs for Clinics Supply System for STI/RTI Kits Responsibilities of Different Organisations In the Drug Supply System 3.3.1. NACO 3.3.2. SACS and DAPCU 3.3.3. Drug and Logistics Management Agency 3.3.4. STI/RTI Service Facilities 3.4. 4. Other Essential Supplies for STI/RTI Service Provision 9-14 9 10 11 11 13 15-17 15 15 15 16 17 17 17 18-20 18 18 19 19 19 19 19 20 21-23 22 24-25 24 24 24 25
CLINICAL MANAGEMENT OF STIs/RTIs 4.1. Minimal Laboratory Tests at STI/RTI Clinics
5.
INFECTION CONTROL SYSTEM 5.1. 5.2. 5.3. 5.4. Universal Precautions Processing of Reusable Equipment Disposal of Hazardous Waste Post-exposure Prophylaxis
3
NACO Operational Guidelines for Strengthening STI/RTI Services
6. 7.
ANAPHYLAXIS MANAGEMENT LINKAGES AND REFERRALS 7.1. Linkage of STI/RTI Clinic with Outreach Services in TIs
25 26 26 27 28-39 28 29 29 31 32 33 33 34 35 35 36 36 37 37 38 38 40 41-44 42 42 42 43 45-94
8. 9.